{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T22:34:03Z","timestamp":1790030043499,"version":"4.0.1"},"reference-count":34,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Alteration of bowel function after delayed coloanal anastomosis (DCAA) might be a limitation to its utilization. Our aim was to assess the long\u2010term bowel function of DCAA in a large multicentric cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>All patients who underwent DCAA interventions at 29 GRECCAR\u2010affiliated hospitals between 2010 and 2021 were retrospectively included. Low anterior resection syndrome (LARS) score or confection of a stoma due to poor bowel function was assessed in eligible patients. Good bowel function was defined by the preservation of bowel continuity with no LARS or a minor LARS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the 385 eligible patients to assess long\u2010term bowel continuity, 63% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009243) responded to the questionnaire or had a definitive stoma because of poor bowel function. After a median follow\u2010up of 32\u2009months, good bowel function was reported by 60% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009146) of patients (with no LARS 36% and minor LARS 24%), whereas 40% of patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009146) had a poor bowel function including major LARS (36%) and definitive stoma due to poor bowel function (4%). No variables tested were predictive of a poor bowel function after DCAA, including a history of pelvic radiotherapy (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.722), salvage DCAA after failure of a previous anastomosis (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.755), presence of a diverting stoma (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.556), occurrence of an anastomotic leakage (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.416) and time interval from the DCAA to the bowel function assessment (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.350).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>No LARS or minor LARS was reached for 60% of patients after DCAA. Less than 5% of patients received a definitive stoma due to a poor bowel function.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70013","type":"journal-article","created":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T00:33:41Z","timestamp":1738715621000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Long\u2010term bowel function following delayed coloanal anastomosis: Analysis of a multicentric cohort study (GRECCAR)"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7882-6860","authenticated-orcid":false,"given":"Maxime K.","family":"Collard","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery, H\u00f4pital Saint\u2010Antoine, Assistance Publique H\u00f4pitaux de Paris Sorbonne University  Paris 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